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Dependent Personality Disorder

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Synonyms

Asthenic personality disorder; DPD

Definition

Dependent personality disorder (DPD) is characterized by an enduring pattern of pervasive and excessive psychological dependence on other people (in order to be taken care of and to meet one’s own emotional and physical needs), fear of separation, and passive, clinging, and submissive behavior. It begins by early adulthood, and it is present in a variety of contexts and is associated with inadequate functioning.

Introduction

Dependency is a ubiquitous construct in developmental, personality, social, and clinical psychology and refers to an aspect of personality associated with both adaptive and maladaptive functioning. It shows significant variability in its behavioral expression. Thus, it is important to distinguish between pathological expressions of dependency (i.e., DPD), characterized by significant distress and impairments, and dependency with a developmental and/ora adaptive function, that is, ensuring child survival and...

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References

  • Ainsworth, M. D., & Gewirtz, J. L. (1972). Attachment and dependency: A comparison. Oxford, England: V. H. Winston & Sons.

    Google Scholar 

  • Alliance of Psychoanalytic Organizations. (2006). Psychodynamic diagnostic manual. Silver Spring: Author.

    Google Scholar 

  • Alnaes, R., & Torgersen, S. (1988). The relationship between DSM-III symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatrica Scandinavica, 78(4), 485–492.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1952). Diagnostic and statistical manual: Mental disorders. Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revised ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Beck, A. T., & Freeman, A. (1990). Cognitive therapy of personality disorders. New York: Guilford Publications.

    Google Scholar 

  • Beck, A.T., Epstein, N., Harrison, R.P., & Emery, g. (1983). Development of the Sociotropy-Autonomy Scale: A new measure for personality factors in psychopathology. Unpublished manuscript, University of Pennsylvania.

    Google Scholar 

  • Bellack, A. S., & Hersen, M. (Eds.). (2013). Handbook of behavior therapy in the psychiatric setting. New York: Springer Science & Business Media.

    Google Scholar 

  • Ben-Porath, Y. S., Hostetler, K., Butcher, J. N., & Graham, J. R. (1989). New subscales for the MMPI-2 Social Introversion (Si) scale. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(3), 169.

    Article  Google Scholar 

  • Bhogle, S. (1978). Child rearing practices among three cultures. Social Change, 5, 8–13.

    Google Scholar 

  • Blagov, P. S., Bi, W., Shedler, J., & Westen, D. (2012). The Shedler-Westen Assessment Procedure (SWAP) Evaluating Psychometric Questions About Its Reliability, Validity, and Impact of Its Fixed Score Distribution. Assessment, 19(3), 370–382.

    Google Scholar 

  • Blatt, S. J., & Blass, R. B. (1996). Relatedness and self-definition: a dialectic model of personality development. In G. G. Noam & K. W. Fischer (Eds.), Development and vulnerabilities in close relationships (pp. 309–338). Hillsdale: Erlbaum.

    Google Scholar 

  • Blatt, S. J., & Shahar, G. (2004). Psychoanalysis – With whom, for what, and how? Comparisons with psychotherapy. Journal of the American Psychoanalytic Association, 52(2), 393–447.

    Article  PubMed  Google Scholar 

  • Blatt, S. J., D’Afflitti, J. P., & Quinlan, D. P. (1976). Depressive experiences questionnaire. Yale University, school of medicine, Department’t of psychiatry.

    Google Scholar 

  • Blatt, S. J., Zohar, A. H., Quinlan, D. M., Zuroff, D. C., & Mongrain, M. (1995). Subscales within the dependency factor of the Depressive Experiences Questionnaire. Journal of Personality Assessment, 64, 319–339.

    Article  PubMed  Google Scholar 

  • Bornstein, R. F. (1992). The dependent personality: Developmental, social, and clinical perspectives. Psychological Bulletin, 112(1), 3.

    Article  PubMed  Google Scholar 

  • Bornstein, R. F. (1996). Beyond orality: Toward an object relations/interactionist reconceptualization of the etiology and dynamics of dependency. Psychoanalytic Psychology, 13(2), 177.

    Article  Google Scholar 

  • Bornstein, R. F. (1997). Dependent Personality Disorder in the DSM-IV and Beyond. Clinical Psychology: Science and Practice, 4(2), 175–187.

    Google Scholar 

  • Bornstein, R. F. (1998). Implicit and self-attributed dependency needs in dependent and histrionic personality disorders. Journal of Personality Assessment, 71(1), 1–14.

    Article  PubMed  Google Scholar 

  • Bornstein, R. F. (2007). Dependent personality disorder: An effective, time-limited strategy. Current psychiatry, 6(1), 37.

    Google Scholar 

  • Bornstein, R. F. (2012a). Dependent Personality Disorder. In T. A. Widiger (Ed.), The Oxford Handbook of Personality Disoerders (pp. 505–526). Oxford: Oxford University Press.

    Google Scholar 

  • Bornstein, R. F. (2012b). Illuminating a neglected clinical issue: Societal costs of interpersonal dependency and dependent personality disorder. Journal of clinical psychology, 68(7), 766–781.

    Article  PubMed  Google Scholar 

  • Bornstein, R. F., & Cecero, J. J. (2000). Deconstructing dependency in a five-factor world: A meta-analytic review. Journal of Personality Assessment, 74(2), 324–343.

    Article  PubMed  Google Scholar 

  • Bornstein, R. F., Porcerelli, J. H., Huprich, S. K., & Markova, T. (2009). Construct validity of the Relationship Profile Test: Correlates of overdependence, detachment, and healthy dependency in low income urban women seeking medical services. Journal of Personality Assessment, 91(6), 537–544.

    Article  PubMed  Google Scholar 

  • Cogswell, A. (2008). Explicit rejection of an implicit dichotomy: Integrating two approaches to assessing dependency. Journal of Personality Assessment, 90(1), 26–35.

    Article  PubMed  Google Scholar 

  • Crawford, T. N., Livesley, W. J., & Jang, K. L. (2007). Insecure attachment and personality disorder: a twin study of adults. European Journal of Personality, 21, 191–208.

    Article  Google Scholar 

  • First, M. B., Williams, J. B., Benjamin, L. S., & Spitzer, R. L. (2016). Structured Clinical Interview for DSM-5 Personality Disorders: SCID-5-PD. Arlington: American Psychiatric Association Publishing.

    Google Scholar 

  • Freud, S. (1953). Three essays on the theory of sexuality. In J. Strachey (Ed. & Trans.), Standard edition of the complete psychological works of Sigmund Freud (Vol. 7, pp. 125–148). London: Hogartg (Original work published 1905).

    Google Scholar 

  • Gore, W. L., Presnall, J. R., Miller, J. D., Lynam, D. R., & Widiger, T. A. (2012). A five-factor measure of dependent personality traits. Journal of Personality Assessment, 94(5), 488–499.

    Article  PubMed  Google Scholar 

  • Hirschfeld, R. M., Klerman, G. L., Gouch, H. G., Barrett, J., Korchin, S. J., & Chodoff, P. (1977). A measure of interpersonal dependency. Journal of personality Assessment, 41(6), 610–618.

    Article  PubMed  Google Scholar 

  • Huber, N. M. (2007). Dependent Personality Inventory (DPI): A Scale to Assess Dependent Personality Subtypes Based on DSM-IV-TR Criteria. ETD Archive. 601.

    Google Scholar 

  • Hyler, S. E. (1994). Personality Questionnaire, PDQ-41. New York: New York State Psychiatric Institute.

    Google Scholar 

  • Jackson, H. J., Whiteside, H. L., Bates, G. W., Bell, R., Rudd, R. P., & Edwards, J. (1991). Diagnosing personality disorders in psychiatric inpatients. Acta Psychiatrica Scandinavica, 83(3), 206–213.

    Article  PubMed  Google Scholar 

  • Klein, D. N. (2003). Patients’ versus informants’ reports of personality disorders in predicting 7 1/2-year outcome in outpatients with depressive disorders. Psychological Assessment, 15(2), 216.

    Article  PubMed  Google Scholar 

  • Klein, M. H., Benjamin, L. S., Rosenfeld, R., Treece, C., Husted, J., & Greist, J. H. (1993). The Wisconsin personality disorders inventory: Development, reliability, and validity. Journal of Personality Disorders, 7(4), 285–303.

    Article  Google Scholar 

  • Livesley, W. J., Schroeder, M. L., & Jackson, D. N. (1990). Dependent personality disorder and attachment problems. Journal of personality disorders, 4(2), 131–140.

    Article  Google Scholar 

  • Loas, G., Cormier, J., & Perez-Diaz, F. (2011). Dependent personality disorder and physical abuse. Psychiatry research, 185(1–2), 167–170.

    Article  PubMed  Google Scholar 

  • MacDonald, K., Berlow, R., & Thomas, M. L. (2013). Attachment, affective temperament, and personality disorders: a study of their relationships in psychiatric outpatients. Journal of affective disorders, 151(3), 932–941.

    Article  PubMed  Google Scholar 

  • Millon, T., Millon, C., Meagher, S., Grossman, S., & Ramnath, R. (2004). Personality Disorders in Modern Life. Hoboken: Wiley.

    Google Scholar 

  • Millon, T., Millon, C., Davis, R., & Grossman, S. (2009). MCMI-III: Millon Clinical Multiaxial Inventory. Bloomington: Pearson.

    Google Scholar 

  • Overholser, J. C. (1992). Interpersonal dependency and social loss. Personality and Individual Differences, 13(1), 17–23.

    Article  Google Scholar 

  • Overholser, J. C. (1996). The dependent personality and interpersonal problems. The Journal of nervous and mental disease, 184(1), 8–16.

    Article  PubMed  Google Scholar 

  • Overholser, J. C., & Fine, M. A. (1994). Cognitive-behavioral treatment of excessive interpersonal dependency: A four-stage psychotherapy model. Journal of Cognitive Psychotherapy, 8(1), 55–70.

    Google Scholar 

  • Parolin, M., Simonelli, A., Mapelli, D., Sacco, M., & Cristofalo, P. (2016). Parental Substance Abuse As an Early Traumatic Event. Preliminary Findings on Neuropsychological and Personality Functioning in Young Drug Addicts Exposed to Drugs Early. Frontiers in Psychology, 7, 887.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pincus, A. L., & Gurtman, M. B. (1995). The three faces of interpersonal dependency: Structural analyses of self-report dependency measures. Journal of Personality and Social Psychology, 69(4), 744.

    Article  PubMed  Google Scholar 

  • Smith, S. W., Hilsenroth, M. J., & Bornstein, R. F. (2009). Convergent validity of the SWAP-200 dependency scales. The Journal of nervous and mental disease, 197(8), 613–618.

    Article  PubMed  Google Scholar 

  • Sroufe, L. A., Fox, N. E., & Pancake, V. R. (1983). Attachment and dependency in developmental perspective. Child development, 54, 1615–1627.

    Article  Google Scholar 

  • Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. Journal of personality disorders, 24(4), 412–426.

    Article  PubMed  PubMed Central  Google Scholar 

  • Turkata, I. D. (1990). The personality disorders: a Psychological approach to clinical management. New York: Pergamon Press.

    Google Scholar 

  • Tyrer, P., Morgan, J., & Cicchetti, D. (2004). The dependent personality questionnaire (DPQ): A screening instrument for dependent personality. International Journal of Social Psychiatry, 50, 10–17.

    Article  PubMed  Google Scholar 

  • Tyrka, A. R., Wyche, M. C., Kelly, M. M., Price, L. H., & Carpenter, L. L. (2009). Childhood maltreatment and adult personality disorder symptoms: influence of maltreatment type. Psychiatry research, 165(3), 281–287.

    Article  PubMed  PubMed Central  Google Scholar 

  • Westen, D., & Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. American Journal of Psychiatry, 156(2), 258–272.

    PubMed  Google Scholar 

  • Westen, D., & Shedler, J. (1999b). Revising and assessing Axis II, Part II: Toward an empirically based and clinically useful classification of personality disorders. American Journal of Psychiatry, 156(2), 273–285.

    PubMed  Google Scholar 

  • Wilberg, T., Friis, S., Karterud, S., Mehlum, L., Urnes, Ø., & Vaglum, P. (1998). Patterns of short-term course in patients treated in a day unit for personality disorders. Comprehensive psychiatry, 39(2), 75–84.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1978). The ninth revision of the international classification of diseases and related health problems (ICD-9). Geneva: WHO.

    Google Scholar 

  • World Health Organization. (1992). The tenth revision of the international classification of diseases and related health problems (ICD-10). Geneva: WHO.

    Google Scholar 

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Correspondence to Alessandra Simonelli .

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Simonelli, A., Parolin, M. (2017). Dependent Personality Disorder. In: Zeigler-Hill, V., Shackelford, T. (eds) Encyclopedia of Personality and Individual Differences. Springer, Cham. https://doi.org/10.1007/978-3-319-28099-8_578-1

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  • DOI: https://doi.org/10.1007/978-3-319-28099-8_578-1

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